Postural Stability Changes Following Static Loading in Athletes with and without Anterior Cruciate Ligament Reconstruction
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Abstract
Introduction: This study investigated the effect of change in postural stability after applying static load during internal perturbation among professional athletes with and without anterior cruciate ligament (ACL) surgery.
Materials and Methods: The participants of the present study were 20 athletes with sixteen months post ACL reconstruction surgery and 20 healthy matched athletes. Each participant performed transitional tasks from double limb stance to single leg stance (SLS) and again to double limb stance on the force plate before and after the application of 10 minutes of constant loading. Area, fore-after range (the meaning of fore-after is anterior-posterior and in articles, this term has been used instead of anterior-posterior) range fore-after (Rfa), range sideway (Rsw), mean velocity (Mv) and confidence ellipse (Ce) of the center of pressure were measured.
Results: Rsw (P=0.009) and area (P=0.009) in response to static loading in the healthy group showed a decrease and an increase of area (P=0.009) in response to static loading in the ACLR group was seen on the double limb stance phase. Mv (P<0.001) and area (P<0.001) were bigger in the ACLR group after static loaded on the integration phase.
Conclusion: Decreased capacity of passive structures to maintain postural stability against perturbation was observed due to positional change among athletes with a history of ACL reconstruction surgery.
Kocak FU, Ulkar B, Özkan F. Effect of proprioceptive rehabilitation on postural control following anterior cruciate ligament reconstruction. Journal of Physical Therapy Science. 2010; 22(2):195-202. [DOI:10.1589/jpts.22.195]
Dhillon MS, Bali K, Prabhakar S. Proprioception in anterior cruciate ligament deficient knees and its relevance in anterior cruciate ligament reconstruction. Indian Journal of Orthopaedics. 2011; 45(4):294-300. [DOI:10.4103/0019-5413.80320] [PMID] [PMCID]
Mohammadi F, Salavati M, Akhbari B, Mazaheri M, Khorrami M, Negahban H. Static and dynamic postural control in competitive athletes after anterior cruciate ligament reconstruction and controls. Knee Surgery, Sports Traumatology, Arthroscopy. 2012; 20:1603-10. [DOI:10.1007/s00167-011-1806-4] [PMID]
Lafond D, Champagne A, Descarreaux M, Dubois JD, Prado JM, Duarte M. Postural control during prolonged standing in persons with chronic low back pain. Gait & Posture. 2009; 29(3):421-7. [DOI:10.1016/j.gaitpost.2008.10.064] [PMID]
Solomonow M. Ligaments: A source of work-related musculoskeletal disorders. Journal of Electromyography and Kinesiology. 2004; 14(1):49-60. [DOI:10.1016/j.jelekin.2003.09.011] [PMID]
Chu D, LeBlanc R, D’Ambrosia P, D’Ambrosia R, Baratta RV, Solomonow M. Neuromuscular disorder in response to anterior cruciate ligament creep. Clinical Biomechanics. 2003; 18(3):222-30. [DOI:10.1016/S0268-0033(03)00002-0] [PMID]
Thornton G, Shrive N, Frank C. Altering ligament water content affects ligament pre stress and creep behavior. Journal of Orthopaedic Research. 2001; 19(5):845-51. [DOI:10.1016/S0736-0266(01)00005-5] [PMID]
Bray RC, Salo PT, Lo IK, Ackermann P, Rattner JB, Hart DA. Normal ligament structure, physiology and function. Sports Medicine and Arthroscopy Review. 2005; 13(3):127-35. [DOI:10.1097/01.jsa.0000173231.38405.ad]
Ryan ED, Herda TJ, Costa PB, Walter AA, Hoge KM, Stout JR, et al. Viscoelastic creep in the human skeletal muscle–tendon unit. European Journal of Applied Physiology. 2010; 108:207-11. [DOI:10.1007/s00421-009-1284-2] [PMID]
Soma NA. Induced anterior cruciate ligament creep infulences ground reaction forces and muscle activation in walking. Carbondale: Southern Illinois University Carbondale; 2015.[Link]
Dingenen B, Janssens L, Claes S, Bellemans J, Staes FF. Postural stability deficits during the transition from double-leg stance to single-leg stance in anterior cruciate ligament reconstructed subjects. Human Movement Science. 2015; 41:46-58. [DOI:10.1016/j.humov.2015.02.001] [PMID]
Ferdowsi F, Shadmehr A, Mir SM, Olyaei G, Talebian S, Keihani S. The reliability of postural control method in athletes with and without ACL reconstruction: A transitional task. Journal of Physical Therapy Science. 2018; 30(7):896-901. [DOI:10.1589/jpts.30.896] [PMID] [PMCID]
Dingenen B, Staes FF, Janssens L. A new method to analyze postural stability during a transition task from double-leg stance to single-leg stance. Journal of Biomechanics. 2013; 46(13):2213-9. [DOI:10.1016/j.jbiomech.2013.06.026] [PMID]
Winter DA, Patla AE, Prince F, Ishac M, Gielo-Perczak K. Stiffness control of balance in quiet standing. Journal of Neurophysiology. 1998; 80(3):1211-21. [DOI:10.1152/jn.1998.80.3.1211] [PMID]
Bonfim TR, Paccola CAJ, Barela JA. Proprioceptive and behavior impairments in individuals with anterior cruciate ligament reconstructedknees. Archives of Physical Medicine and Rehabilitation. 2003; 84(8):1217-23. [DOI:10.1016/S0003-9993(03)00147-3] [PMID]
Harrison EL, Duenkel N, Dunlop R, Russell G. Evaluation of single-leg standing following anterior cruciate ligament surgery and rehabilitation. Physical Therapy. 1994; 74(3):245-52. [DOI:10.1016/S0031-9406(10)61315-6]
Karimi A, Saeidi M. [The association of fear avoidance beliefs and pain intensity with disability and parameters of postural stability in non specific chronic low back pain (Persian). Journal of Research in Rehabilitation Sciences. 2014; 9(6):1006-18. [DOI: 10.22122/jrrs.v9i6.1180]
Dingenen B, Janssens L, Luyckx T, Claes S, Bellemans J, Staes FF. Postural stability during the transition from double-leg stance to single-leg stance in anterior cruciate ligament injured subjects. Clinical Biomechanics. 2015; 30(3):283-9. [DOI:10.1016/j.clinbiomech.2015.01.002] [PMID]
Lysholm M, Ledin T, Ödkvist LM, Good L. Postural control—a comparison between patients with chronic anterior cruciate ligament insufficiency and healthy individuals. Scandinavian Journal of Medicine & Science in Sports. 1998; 8(6):432-8. [DOI:10.1111/j.1600-0838.1998.tb00464.x] [PMID]
Henriksson M, Ledin T, Good L. Postural control after anterior cruciate ligament reconstruction and functional rehabilitation. The American Journal of Sports Medicine. 2001; 29(3):359-66. [DOI:10.1177/03635465010290031801] [PMID]
Yiou E, Caderby T, Hussein T. Adaptability of anticipatory postural adjustments associated with voluntary movement. World Journal of Orthopedics. 2012; 3(6):75-86. [DOI:10.5312/wjo.v3.i6.75] [PMID] [PMCID]
Bouisset S, Do MC. Posture, dynamic stability, and voluntary movement. Neurophysiologie Clinique/Clinical Neurophysiology. 2008; 38(6):345-62. [DOI:10.1016/j.neucli.2008.10.001] [PMID]
Hass CJ, Bishop MD, Doidge D, Wikstrom EA. Chronic ankle instability alters central organization of movement. The American Journal of Sports Medicine. 2010; 38(4):829-34. [DOI:10.1177/0363546509351562] [PMID]
Gribble PA, Robinson RH. Alterations in knee kinematics and dynamic stability associated with chronic ankle instability. Journal of Athletic Training. 2009; 44(4):350-5. [DOI:10.4085/1062-6050-44.4.350] [PMID] [PMCID]
Kalaycıoğlu C, Kara C, Atbaşoğlu C, Nalçacı E. Aspects of foot preference: Differential relationships of skilled and unskilled foot movements with motor asymmetry. Laterality. 2008; 13(2):124-42. [DOI:10.1080/13576500701701704] [PMID]
Marschik PB, Einspieler C, Strohmeier A, Plienegger J, Garzarolli B, Prechtl HF. From the reaching behavior at 5 months of age to hand preference at preschool age. Developmental Psychobiology: The Journal of the International Society for Developmental Psychobiology. 2008; 50(5):511-8. [DOI:10.1002/dev.20307]
Hoch MC, Staton GS, McKeon PO. Dorsiflexion range of motion significantly influences dynamic balance. Journal of Science and Medicine in Sport. 2011; 14(1):90-2. [DOI:10.1016/j.jsams.2010.08.001] [PMID]
Paterno MV, Ford KR, Myer GD, Heyl R, Hewett TE. Limb asymmetries in landing and jumping 2 years following anterior cruciate ligament reconstruction. Clinical Journal of Sport Medicine. 2007; 17(4):258-62.. [DOI:10.1097/JSM.0b013e31804c77ea] [PMID]
Tookuni KS, Bolliger Neto R, Pereira CA, Souza DR, Greve JM, Ayala AD. Comparative analysis of postural control in individuals with and without lesions on the anterior cruciate ligament of the knee. Acta Ortopédica Brasileira. 2005; 13:115-9. [DOI:10.1590/S1413-78522005000300003]
Sahrmann S, Azevedo DC, Van Dillen L. Diagnosis and treatment of movement system impairment syndromes. Brazilian Journal of Physical Therapy. 2017; 21(6):391-9. [DOI:10.1016/j.bjpt.2017.08.001]
Chaput M, Onate JA, Simon JE, Criss CR, Jamison S, McNally M, Grooms DR. Visual cognition associated with knee proprioception, time to stability, and sensory integration neural activity after ACL reconstruction. Journal of Orthopaedic Research. 2022; 40(1):95-104. [DOI:10.1002/jor.25014]
Patterson MR, Delahunt E. A diagonal landing task to assess dynamic postural stability in ACL reconstructed females. The Knee. 2013; 20(6):532-6. [DOI:10.1016/j.knee.2013.07.008] [PMID]
Webster KA, Gribble PA. Time to stabilization of anterior cruciate ligament–reconstructed versus healthy knees in national collegiate athletic association division i female athletes. Journal of Athletic Training. 2010; 45(6):580-5. [DOI:10.4085/1062-6050-45.6.580] [PMID] [PMCID]
Dhillon MS, Bali K, Prabhakar S. Proprioception in anterior cruciate ligament deficient knees and its relevance in anterior cruciate ligament reconstruction. Indian Journal of Orthopaedics. 2011; 45(4):294-300. [DOI:10.4103/0019-5413.80320] [PMID] [PMCID]
Mohammadi F, Salavati M, Akhbari B, Mazaheri M, Khorrami M, Negahban H. Static and dynamic postural control in competitive athletes after anterior cruciate ligament reconstruction and controls. Knee Surgery, Sports Traumatology, Arthroscopy. 2012; 20:1603-10. [DOI:10.1007/s00167-011-1806-4] [PMID]
Lafond D, Champagne A, Descarreaux M, Dubois JD, Prado JM, Duarte M. Postural control during prolonged standing in persons with chronic low back pain. Gait & Posture. 2009; 29(3):421-7. [DOI:10.1016/j.gaitpost.2008.10.064] [PMID]
Solomonow M. Ligaments: A source of work-related musculoskeletal disorders. Journal of Electromyography and Kinesiology. 2004; 14(1):49-60. [DOI:10.1016/j.jelekin.2003.09.011] [PMID]
Chu D, LeBlanc R, D’Ambrosia P, D’Ambrosia R, Baratta RV, Solomonow M. Neuromuscular disorder in response to anterior cruciate ligament creep. Clinical Biomechanics. 2003; 18(3):222-30. [DOI:10.1016/S0268-0033(03)00002-0] [PMID]
Thornton G, Shrive N, Frank C. Altering ligament water content affects ligament pre stress and creep behavior. Journal of Orthopaedic Research. 2001; 19(5):845-51. [DOI:10.1016/S0736-0266(01)00005-5] [PMID]
Bray RC, Salo PT, Lo IK, Ackermann P, Rattner JB, Hart DA. Normal ligament structure, physiology and function. Sports Medicine and Arthroscopy Review. 2005; 13(3):127-35. [DOI:10.1097/01.jsa.0000173231.38405.ad]
Ryan ED, Herda TJ, Costa PB, Walter AA, Hoge KM, Stout JR, et al. Viscoelastic creep in the human skeletal muscle–tendon unit. European Journal of Applied Physiology. 2010; 108:207-11. [DOI:10.1007/s00421-009-1284-2] [PMID]
Soma NA. Induced anterior cruciate ligament creep infulences ground reaction forces and muscle activation in walking. Carbondale: Southern Illinois University Carbondale; 2015.[Link]
Dingenen B, Janssens L, Claes S, Bellemans J, Staes FF. Postural stability deficits during the transition from double-leg stance to single-leg stance in anterior cruciate ligament reconstructed subjects. Human Movement Science. 2015; 41:46-58. [DOI:10.1016/j.humov.2015.02.001] [PMID]
Ferdowsi F, Shadmehr A, Mir SM, Olyaei G, Talebian S, Keihani S. The reliability of postural control method in athletes with and without ACL reconstruction: A transitional task. Journal of Physical Therapy Science. 2018; 30(7):896-901. [DOI:10.1589/jpts.30.896] [PMID] [PMCID]
Dingenen B, Staes FF, Janssens L. A new method to analyze postural stability during a transition task from double-leg stance to single-leg stance. Journal of Biomechanics. 2013; 46(13):2213-9. [DOI:10.1016/j.jbiomech.2013.06.026] [PMID]
Winter DA, Patla AE, Prince F, Ishac M, Gielo-Perczak K. Stiffness control of balance in quiet standing. Journal of Neurophysiology. 1998; 80(3):1211-21. [DOI:10.1152/jn.1998.80.3.1211] [PMID]
Bonfim TR, Paccola CAJ, Barela JA. Proprioceptive and behavior impairments in individuals with anterior cruciate ligament reconstructedknees. Archives of Physical Medicine and Rehabilitation. 2003; 84(8):1217-23. [DOI:10.1016/S0003-9993(03)00147-3] [PMID]
Harrison EL, Duenkel N, Dunlop R, Russell G. Evaluation of single-leg standing following anterior cruciate ligament surgery and rehabilitation. Physical Therapy. 1994; 74(3):245-52. [DOI:10.1016/S0031-9406(10)61315-6]
Karimi A, Saeidi M. [The association of fear avoidance beliefs and pain intensity with disability and parameters of postural stability in non specific chronic low back pain (Persian). Journal of Research in Rehabilitation Sciences. 2014; 9(6):1006-18. [DOI: 10.22122/jrrs.v9i6.1180]
Dingenen B, Janssens L, Luyckx T, Claes S, Bellemans J, Staes FF. Postural stability during the transition from double-leg stance to single-leg stance in anterior cruciate ligament injured subjects. Clinical Biomechanics. 2015; 30(3):283-9. [DOI:10.1016/j.clinbiomech.2015.01.002] [PMID]
Lysholm M, Ledin T, Ödkvist LM, Good L. Postural control—a comparison between patients with chronic anterior cruciate ligament insufficiency and healthy individuals. Scandinavian Journal of Medicine & Science in Sports. 1998; 8(6):432-8. [DOI:10.1111/j.1600-0838.1998.tb00464.x] [PMID]
Henriksson M, Ledin T, Good L. Postural control after anterior cruciate ligament reconstruction and functional rehabilitation. The American Journal of Sports Medicine. 2001; 29(3):359-66. [DOI:10.1177/03635465010290031801] [PMID]
Yiou E, Caderby T, Hussein T. Adaptability of anticipatory postural adjustments associated with voluntary movement. World Journal of Orthopedics. 2012; 3(6):75-86. [DOI:10.5312/wjo.v3.i6.75] [PMID] [PMCID]
Bouisset S, Do MC. Posture, dynamic stability, and voluntary movement. Neurophysiologie Clinique/Clinical Neurophysiology. 2008; 38(6):345-62. [DOI:10.1016/j.neucli.2008.10.001] [PMID]
Hass CJ, Bishop MD, Doidge D, Wikstrom EA. Chronic ankle instability alters central organization of movement. The American Journal of Sports Medicine. 2010; 38(4):829-34. [DOI:10.1177/0363546509351562] [PMID]
Gribble PA, Robinson RH. Alterations in knee kinematics and dynamic stability associated with chronic ankle instability. Journal of Athletic Training. 2009; 44(4):350-5. [DOI:10.4085/1062-6050-44.4.350] [PMID] [PMCID]
Kalaycıoğlu C, Kara C, Atbaşoğlu C, Nalçacı E. Aspects of foot preference: Differential relationships of skilled and unskilled foot movements with motor asymmetry. Laterality. 2008; 13(2):124-42. [DOI:10.1080/13576500701701704] [PMID]
Marschik PB, Einspieler C, Strohmeier A, Plienegger J, Garzarolli B, Prechtl HF. From the reaching behavior at 5 months of age to hand preference at preschool age. Developmental Psychobiology: The Journal of the International Society for Developmental Psychobiology. 2008; 50(5):511-8. [DOI:10.1002/dev.20307]
Hoch MC, Staton GS, McKeon PO. Dorsiflexion range of motion significantly influences dynamic balance. Journal of Science and Medicine in Sport. 2011; 14(1):90-2. [DOI:10.1016/j.jsams.2010.08.001] [PMID]
Paterno MV, Ford KR, Myer GD, Heyl R, Hewett TE. Limb asymmetries in landing and jumping 2 years following anterior cruciate ligament reconstruction. Clinical Journal of Sport Medicine. 2007; 17(4):258-62.. [DOI:10.1097/JSM.0b013e31804c77ea] [PMID]
Tookuni KS, Bolliger Neto R, Pereira CA, Souza DR, Greve JM, Ayala AD. Comparative analysis of postural control in individuals with and without lesions on the anterior cruciate ligament of the knee. Acta Ortopédica Brasileira. 2005; 13:115-9. [DOI:10.1590/S1413-78522005000300003]
Sahrmann S, Azevedo DC, Van Dillen L. Diagnosis and treatment of movement system impairment syndromes. Brazilian Journal of Physical Therapy. 2017; 21(6):391-9. [DOI:10.1016/j.bjpt.2017.08.001]
Chaput M, Onate JA, Simon JE, Criss CR, Jamison S, McNally M, Grooms DR. Visual cognition associated with knee proprioception, time to stability, and sensory integration neural activity after ACL reconstruction. Journal of Orthopaedic Research. 2022; 40(1):95-104. [DOI:10.1002/jor.25014]
Patterson MR, Delahunt E. A diagonal landing task to assess dynamic postural stability in ACL reconstructed females. The Knee. 2013; 20(6):532-6. [DOI:10.1016/j.knee.2013.07.008] [PMID]
Webster KA, Gribble PA. Time to stabilization of anterior cruciate ligament–reconstructed versus healthy knees in national collegiate athletic association division i female athletes. Journal of Athletic Training. 2010; 45(6):580-5. [DOI:10.4085/1062-6050-45.6.580] [PMID] [PMCID]
| Files | ||
| Issue | Vol 17 No 2 (2023) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/jmr.v17i2.12415 | |
| Keywords | ||
| Anterior cruciate ligament reconstruction Creep;Integration Reintegration Constant load Postural stability | ||
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How to Cite
1.
Ferdowsi F, Shadmehr A, Mir SM, Olyaie G, Keyhani S. Postural Stability Changes Following Static Loading in Athletes with and without Anterior Cruciate Ligament Reconstruction. jmr. 2023;17(2):172-180.
